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Radical Tonsil Area Removal With Flap Repair

Nationwide rates for HCPCS 42845

Removes a cancer involving the tonsil, the folds of tissue around it and the area behind the back teeth, taking a wide margin of surrounding tissue, then rebuilds the site with a flap of tissue brought in from elsewhere in the body. Bringing in tissue with its own blood supply fills the gap and helps swallowing and speech recover. It is a lengthy operation, usually part of a wider cancer treatment plan.

Rates data updated July 2026.

Facilitymedian $5,370 · 10th–90th $1,905$15,8490%5%10%10th90th$5,370Professionalmedian $2,884 · 10th–90th $1,862$8,3180%20%10th90th$2,884$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,466.84
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$10,471.29
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,388.44
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,818.38
Typical High
$9,549.93